Clinicoradiological Correlation of Findings in Differential Diagnosis of Different Types of MeningitisiIn Pediatric Age Group 6 Months To 12 Years of Age Group.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 2
Abstract
Background: Intracranial infections are among the most important problem in pediatric age. In about 30-35% of children we face diagnostic difficulty as whether the child has pyogenic, tubercular and, or viral meningitis. We will discuss clinical feature of meningitis and their radiological findings and correlation between them in this study. Objective: Current study aims: (a) To evaluate the clinical feature and radiological findings and their correlation in differential diagnosis off meningitis. (b) To determine the changes occurring in CT/MRI scan in case of pyogenic, tubercular and viral meningitis and predict the outcome. Material and methods: Eighty (80) consecutive cases admitted in a tertiary care centre in Jharkhand, with meningitis were studied by detailed history, thorough examination and stepwise investigation including blood count CSF exam, CT/MRI scan. Results: The most common CT scan finding is basal enhancement 60 cases (75%) presents with fever, seizure, hemiplegia, unconsciousness; Hydrocephalous 50 cases (62.5%) with bulging fontanelle, vomiting, headache, cranial nerve palsy unconsciousness ; Tuberculoma 20 cases (25%) with seizure , fever ; Infraction 20 cases (25%) with seizure , hemiplegia cranial nerve palsy ; Periventricular lucency 15 cases (18.75%) with seizure ; Subdural effusion 3 cases (3.75%) with fever seizure , altered sensorium. Conclusion: The high sensitivity and specificity of cranial CT scan finding in meningitis make us feel that it can provide useful information to effectively differentiate between pyogenic, tubercular and viral meningitis corroborated with clinical feature.
Authors and Affiliations
Dr. Arvind Kumar
Keywords
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- EP ID EP592504
- DOI 10.9790/0853-1602085759.
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